The Influence of Social Determinants on Cancer Screening in a Medicaid Sample

Markus, Anne R.; Li, Yixuan; Wilder, Marceé E.; Catalanotti, Jillian S.; McCarthy, Melissa L.

doi:10.1016/j.amepre.2023.02.005

Cited by 4 publications

(2 citation statements)

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“…Similar patterns are observed when accounting for whether individuals have had a personal history of cancer. Food insecurity, housing insecurity, and being disabled are associated with a lower likelihood of undergoing CRC screening among people without a history of cancer ( Markus et al, 2023 , Santiago-Rodríguez et al, 2022 ). Higher household income and educational attainment are associated with an increased likelihood of CRC screening regardless of cancer history ( Boehmer et al, 2010 , Huang et al, 2019 , Santiago-Rodríguez et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

“…Although prior studies examined the association between cancer history, social needs, and CRC screening use, they either focused on cancer history or social needs on screening use ( Boehmer et al, 2010 , Ford et al, 2019 , Huang et al, 2019 , Kane et al, 2023 , Lozano et al, 2023 , Markus et al, 2023 , Santiago-Rodríguez et al, 2022 ). None of these studies have examined integrated relationships between personal cancer history and screening behavior while accounting for various types of social needs ( Boehmer et al, 2010 , Ford et al, 2019 , Huang et al, 2019 , Santiago-Rodríguez et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The role of a social determinants of health summary measure on the association between cancer history status and colorectal cancer screening utilization among screening eligible adults

Tsai,

Pollard,

Coughlin

et al. 2024

Preventive Medicine Reports

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The role of a social determinants of health summary measure on the association between cancer history status and colorectal cancer screening utilization among screening eligible adults

Tsai,

Pollard,

Coughlin

et al. 2024

Preventive Medicine Reports

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Social Risk Factor Domains and Preventive Care Services in US Adults

Schroeder,

Ozieh,

Thorgerson

et al. 2024

JAMA Netw Open

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ImportanceGrowing evidence suggests that social determinants of health are associated with low uptake of preventive care services.ObjectiveTo examine the independent associations of social risk factor domains with preventive care services among US adults.Design, Setting, and ParticipantsThis cross-sectional study used National Health Interview Survey data on 82 432 unweighted individuals (239 055 950 weighted) from 2016 to 2018. Subpopulations were created for each of the primary outcomes: routine mammography (women aged 40-74 years), Papanicolaou test (women aged 21-65 years), colonoscopy (adults aged 45-75 years), influenza vaccine (adults aged ≥18 years), and pneumococcal vaccine (adults aged ≥65 years). Statistical analysis was performed from July to December 2023.ExposuresSix social risk domains (economic instability, lack of community, education deficit, food insecurity, social isolation, and lack of access to care) and a count of domains.Main Outcomes and MeasuresLogistic regression models were used to examine the independent association between each primary outcome (mammography, Papanicolaou test, colonoscopy, influenza vaccine, and pneumococcal vaccine) and social risk factor domains, while controlling for covariates (age, sex, race and ethnicity, health insurance, and comorbidities).ResultsA total of 82 432 unweighted US individuals (239 055 950 weighted individuals) were analyzed. A total of 54.3% were younger than 50 years, and 51.7% were female. All 5 screening outcomes were associated with educational deficit (mammography: odds ratio [OR], 0.73 [95% CI, 0.67-0.80]; Papanicolaou test: OR, 0.78 [95% CI, 0.72-0.85]; influenza vaccine: OR, 0.71 [95% CI, 0.67-0.74]; pneumococcal vaccine: OR, 0.68 [95% CI, 0.63-0.75]; colonoscopy: OR, 0.82 [95% CI, 0.77-0.87]) and a lack of access to care (mammography: OR, 0.32 [95% CI, 0.27-0.38]; Papanicolaou test: OR, 0.49 [95% CI, 0.44-0.54]; influenza vaccine: OR, 0.44 [95% CI, 0.41-0.47]; pneumococcal vaccine: OR, 0.30 [95% CI, 0.25-0.38]; colonoscopy: OR, 0.35 [95% CI, 0.30-0.41]). Fully adjusted models showed that every unit increase in social risk count was significantly associated with decreased odds of receiving a mammography (OR, 0.74 [95% CI, 0.71-0.77]), Papanicolaou test (OR, 0.84 [95% CI, 0.81-0.87]), influenza vaccine (OR, 0.81 [95% CI, 0.80-0.83]), pneumococcal vaccine (OR, 0.80 [95% CI, 0.77-0.83]), and colonoscopy (OR, 0.88 [95% CI, 0.86-0.90]).Conclusions and RelevanceThis cross-sectional study of US adults suggests that social risk factor domains were associated with decreased odds of receiving preventive services; this association was cumulative. There is a need to address social risk factors to optimize receipt of recommended preventive services.

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